Listado de medicamentos con receta

horizonNJhealth.com
horizonNJhealth.com
Listado de medicamentos con receta
Horizon NJ Health quiere asegurase de que reciba la atención que necesita.
Con frecuencia, esa atención podría incluir medicamentos de venta con receta.
La mayoría de los medicamentos de venta con y sin receta (de venta
libre) están cubiertos para que usted los pueda adquirir a bajo costo o
sin costo alguno, siempre que su médico los recete y se encuentrenen
nuestro Formulario. Un comité de médicos y farmacéuticos revisa
la lista para garantizar que los medicamentos incluidos sean seguros y
eficaces. Si su médico decide que usted requiere un fármaco que
no está incluido en la lista de fármacos de venta con receta (formulario)
o que requiere aprobación previa, inclusive una excepción para
medicamentos de marca, puede llamar y solicitar una autorización
especial para ello. Su médico puede llamar al Departamento de
Farmacia de Horizon NJ Health al 1-800-682-9094. Para encontrar
una farmacia cerca de su domicilio busque en nuestro Directorio
de Proveedores en horizonNJhealth.com o comuníquese a la línea
telefónica gratuita del Departamento de Servicios para los Miembros
al 1-800-682-9090. Las personas con problemas auditivos o del habla
pueden comunicarse a nuestro servicio TTY/TDD al 711.
• El Formulario es una
lista de medicamentos
aprobados cubiertos
por Horizon NJ Health.
• S
us recetas pueden
surtirse en cualquier
farmacia participante.
Símbolo
CAPS
@
YO
*
◊
Interpretación
Medicamentos de marca
Requieren autorización previa o existen otras limitaciones
Significa “años”
Se aplican limitaciones (por cantidad, edad y/o sexo)
Sujeto a terapia escalonada de agentes de primera línea
Es posible que algunos miembros tengan sus medicinas para el VIH/SIDA
cubiertas por medio del Programa de Distribución de Medicinas para
el SIDA (ADDP, por sus siglas en inglés).
Algunos productos tópicos y para la tos/resfrío se consideran beneficios
de farmacia no cubiertos para miembros de 21 años de edad y mayores.
Los derivados de la vitamina A se consideran beneficios de farmacia
no cubiertos para miembros de 35 años de edad y mayores.
Horizon NJ Health is part of the Horizon Blue Cross Blue Shield of New Jersey enterprise, an independent licensee of the Blue Cross and Blue Shield Association.
© 2016 Horizon Blue Cross Blue Shield of New Jersey. Three Penn Plaza East, Newark, New Jersey 07105.
A
abacavir@*
ABILIFY
DISCMELT*
ABILIFY
MAINTENA*
ABREVA*
acarbose*
ACCU-CHEK*
ACCUTANE
acebutolol*
acetasol
acetasol hc
acetazolamide
acetic acid
acetylcysteine
acid jelly
ACTHAR HP @
ACULAR LS*
acyclovir capsule,
tablet, oral
suspension,
powder,
vial*
acyclovir ointment
@*
ADACEL @*
adapalene
0.1%
gel*
(Not covered if ≥35 YO)
ADCIRCA*
ADVAIR
HFA/Diskus*
ADVICOR*
ADVIL COLD
AND SINUS
AFINITOR@*
AFINITOR
DISPERSZ@*
AGGRENOX*
AGRYLIN
AKINETON
AKNE-MYCIN
alavert*
ALAWAY*
ALBENZA
albuterol*
alclometasone*
alendronate*
alfuzosin*
ALKERAN
allopurinol
ALOCRIL
ALORA
ALOXI*
alprazolam
Page 1 of 7
amantadine
AMBISOME@
amidrine
amiloride
amiloride/
hydrochlorothiazide
aminocaproic
acid
aminophylline*
amiodarone
AMITIZA @*
amitriptyline
amlodipine*
amlodipine/
benazepril*
ammonium lactate*
amoxapine*
amoxicillin*
amoxacillin/
clavulanate*
amphetaminedextroamphetamine,
ER@*
amphotericin
ampicillin
AMPYRA*
ANA-KIT
ANADROL-50
ANDROGEL
1% @*
ANTABUSE @*
antipyrene/
benzocaine
acetaminophen/
codeine*
apri*
apraclonidine
APRISO ER*
APTIVUS@*
aquatab d
ARCALYST @*
ARICEPT
5mg/10mg*
ARIMIDEX @*
aripiprazole*
ARIXTRA*
AROMASIN @
aspirin/codeine*
aspirin
ASMANEX
TWISTHALER/HFA*
ASSESS*
atenolol/chlorthalidone
atorvastatin*
ATRIPLA@*
atropine sulfate
ATROVENT
HFA*
atovaquone/progua
nil
augmented
betamethasone
cream*
AUGMENTIN
XR*
aurodex*
AVANDARYL*
AVANDIA*
AVANDAMET*
AVASTIN @
AVC
aviane*
AVODART*
AVONEX @*
AXID AR (OTC)*
aygestin*
AZACTAM @
azathioprine
azelastine
nasal
spray*
azithromycin*
AZOPT
B
b-c/folic
b-complex
bacitracin/neomyci
n/
polymyxin*
bacitracin
baclofen
BARACLUDE*
belladonna/opium
bellamine-s
bencort
BENLYSTA@
benzonatate(≥11
YO)*
benzoyl peroxide
cream, lotion*
benztropine*
BERINERT @
betamethasone*
betamethasone
dipropionate
ointment*
betamethasone
valerate*
BETASERON @*
betaxolol*
bethanechol
BETOPTIC-S
BIDIL*
BICILLIN
BILTRICIDE
bisoprolol/
hydrochlorothiazide
bisoprolol
bleomycin
bleph-10
BLEPHAMIDE
BOOSTRIX @*
BOTOX @*
brimonidine
0.2%, 0.15%*
bromanate
bromfenex
bromocriptine*
budesonide
nebulizer
solution
(≤8YO)*
bumetanide
buprenorphine @*
buprenorphine/
naloxone
tablets@*
bupropion, SR*
bupropion XL*
buspirone
butalbital/acetaminophen/caffeine*
butalbital/aspirin/
caffeine*
butorphanol*
BYDUREON*
C
cabergoline
CAFCIT
calcipotriene*
calcitriol
calcitonin*
calcium acetate
CALDEROL
CAMPRAL*
CANASA
CAPITROL
captopril/
hydrochlorothiazide*
CARBAGLU
carbidopa*
October 2016
carbdopa/
levodopa, CR*
carbidopa/levodopa
/entacapone*
carbamazepine,
ER
CARBATROL
CARBILEV
carboplatin
CARDEC
CARDEC DM
carisoprodol*
CARMOL 40
CARMOL SCALP
CARMOL-HC
cartia xt
CASODEX
CATAPRES-TTS*
carvedilol*
CAYSTON*
cefaclor, ER
cefadroxil
cefdinir*
cefpodoxime*
cefprozil*
ceftriaxone
cefuroxime
celecoxib @*◊
CENESTIN
cephalexin
CEREZYME @
CETACAINE
cetirizine (OTC)*
cetirizine/
pseudoephedrine
(OTC)*
CHEMET
chemstrip bg
CHILDREN’S ADVIL
chlorpheniramine
chloral hydrate
chlordiazepoxide
chloroquin
chlorothiazide
chlorpromazine
chlorthalidone
chlorzoxazone
cholestyramine,
light
chromagen
ciclopirox 8%*
ciclopirox 0.77%
cream*
cilostazol*
CILOXAN
ointment*
Page 2 of 7
CINRYZE @*
CIPRO HC*
CIPRODEX*
ciprofloxacin
(≥1YO)*
ciprofloxacin ER
(≥18YO)*
ciprofloxacin eye
drops*
ciprofloxacin otic*
cisplatin
citalopram*
citric acid
clarithromycin, SR
clemastine
CLEOCIN
VAGINAL
clindamycin cream/
solution/capsule*
CLINDESSE*
clindets
clomipramine*
clonazepam
clonidine*
clopidogrel*
clorazepate
clotrimazole*
clotrimazole/
betamethasone
cream
clozapine*
clozapine ODT*
COARTEM*
codeine sulfate
colchicine*
COLCRYS*
colestipol
colocort
COLY-MYCIN
colyte
colyte flavored
COMBIPATCH
COMBIVENT*
COMETRIQ@*
COMPLERA@*
COMTAN*
constulose
COPAXONE
20mg/mL*
cormax
cortic
CORTIFOAM
cortisone
CORTISPORIN*
CORZIDE
COTELLIC@*
COUMADIN
CREON
CRIXIVAN@*
cromolyn*
CUVPOSA*
cyanocobalamine
cyclobenzaprine
cyclopentolate
cyclophosphamide
cyclosporine
cyproheptadine
CYSTARAN@*
cytarabine
CYTOMEL
CYTOVENE
cytra k
cytra-2
cytra-3
D
danazol
dantrolene
DAPSONE
DARAPRIM
daunorubicin
DELATESTRYL@
demeclocycline*
DENAVIR @◊*
DEPEN*
DEPOPROVERA*
DEPO-TESTOSTERONE
@*
desipramine*
desogestrel/ethin estradiol*
desonide cream*
desmopressin*
desoximetasone
gel,
0.25% ointment,
0.25% cream*
dexamethason/
neomycin/polymyxi
n
dexamethasone*
dexchloropheniramine
DEXFERRUM @
dexmethylphenidate*
dextroamphetamine
dextroamphetamine
/amphetamine
dextroamphetamine
/amphetamine
XR*
DHT
diazepam
DIBENZYLINE
diclofenac tablet
dicloxacillin
dicyclomine*
didanosine@*
DIFICID*
diflunisal
digitek
digoxin
diltia xt
diltiazem
DIMETAPP
DIPENTUM*
diphenhydramine
diphenoxylate/
atropine
dipyridamole
disopyramide
disulfiram @*
divalproex sodium
DIURIL
dorzolamide
dorzolamide
hydrochloride/
timolol maleate
doxazosin*
doxepin*
doxorubicin
dextromethorphan
doxycycline*
dronabinol @
DULERA*
duloxetine*
DURICEF
dyphyllin*
DYRENIUM
E
ear-gesic*
EASIVENT
econazole*
ECONOPRED
EDURANT@*
EFFEXOR XR*
EFUDEX*
EGRIFTA*
ELELYSO @
ELIGARD @*
ELIQUIS*
ELLA*
ELMIRON
ELOXATIN @
EMEND@*
October 2016
EMSAM*
EMTRIVA@*
ENABLEX*
enalapril*
enalapril/
hydrochlorothiazide*
ENBREL @*
endocet*
endodan
ENGERIX-B @*
enoxaparin
ENTEX
ENTEX LA
entex pse
EPIFOAM
epinephrine
EPIPEN
EPIPEN-JR
epitol
EPIVIR HBV*
EPZICOM@*
ERBITUX @
ergotamine/
caffeine
ERIVEDGE@*
erythromycin
topical solution
ESBRIET@*
escitalopram*
ESCLIM
ESKALITH CR
estazolam
ESTINYL
ESTRACE
estradiol*
estradiol/
norethindrone*
estradiol valerate
injection
ESTRING
ESTROGEL
estrogen/methyltestosterone
estropipate
ethambutol
ethosuximide
ethyl chloride
etidronate
etoposide
EUFLEXXA @*
EURAX*
EVISTA
EVOXAC
EXELON, patch*
EYLEA*
Page 3 of 7
F
famotidine*
FAMVIR*
FARESTON@*
felbamate
felodipine ER
FEMARA
FEMRING
fenofibrate*
fentanyl patches@*
fentanyl citrate, oral
transmucosal@*
FERAHEME @
FERRLECIT @
ferrous sulfate*
fexofenadine
180mg, 30mg/5
ml *
fexofenadine/
pseudoephedrine
(OTC)*
finasteride*
FIRAZYR@*
FIRMAGON
FLAGYL ER*
FLAREX
flecainide
FLOLAN
FLOVENT*
fluconazole*
flucytosine
fludrocortisone
fluocinolone
cream/ointment*
fluocinolone otic
oil*
fluocinonide cream,
gel, ointment*
fluoritab
FLUOROPLEX
fluorouracil
fluoxetine*
fluphenazine*
flurazepam
flurbiprofen
flutamide
fluticasone*
fluvoxamine*
FML FORTE
FML S.O.P.
FML-S
folic acid
FORADIL*
FOSAMAX PLUS
D*
fosinopril,
hydrochlorothiazide*
FOSRENOL
FRAGMIN
FULVICIN UF
FUNGOID
FURADANTIN
furosemide
FUZEON@*
G
gabapentin*
GABITRIL
galantamine*
GARDASIL@*
GASTROCROM*
GATTEX@
gemfibrozil
GEMZAR
GENEDEL
gentak
gentamicin
GILENYA*
GILOTRIF@*
GLASSIA
GLEOSTINE@*
glimepiride*
glipizide*
glipizide er*
GLUCAGON
glyburide*
glyburide/metformin*
glycopyrrolate
GLYSET*
GRANIX@*
griseofulvin
guaifenesin
guanfacine, ER*
GYNAZOLE*
H
HALFLYTELY
Haloperidol
HAVRIX @*
HECTOROL
HEMANGEOL*
hemril
hep-lock
heparin sodium
HEPSERA
HERCEPTIN*
HIPREX
HIZENTRA
homatropine*
HUMALOG
100U/mL vial*
(only
3mL vial for
LTC)
HUMATROPE @
HUMIRA @*
HUMULIN
100U/mL*(only
3mL vial for
LTC)
hydralazine
hydralazine/
hydrochlorothiazide
hydrochlorothiazide
hydrocodone /
acetaminophen
325mg*
hydrocodone /
ibuprofen*
hydrocortisone*
hydrocortisone/
pramoxine*
hydromorphone
hydroxychloroquine
hydroxyurea
hydroxyzine
I
IBRANCE@*
ibuprofen
ILARIS @
imatinib*
IMBRUVICA@*
imipramine*
imiquimod
cream@*
INCRELEX
indapamide
indomethacin
INFED @
INLYTA*
INNOHEP
INSPRA*
INSPIREASE*
insulin syringes*
INTAL
INHALER*
INTELENCE@*
INTRON-A @
INVEGA*
INVEGA
SUSTENNA*
October 2016
INVIRASE@*
iophen nr
iophen c-nr
iophen dm-nr
IPLEX*
ipratropium*
ipratropium/
albuterol*
IPRIVASK*
irbesartan*
irbesartan/
hydrochlorothiazide*
IRESSA*
irinotecan
iron complex*
ISENTRESS@*
isoniazid
isosorbide dinitrate
isosorbide
mononitrate
itraconazole*
J
JAKAFI@*
JALYN*
JANUMET*
JANUMET XR*
JANUVIA*
JARDIANCE*
JUXTAPID@*
K
KADIAN
KALBITOR @
KALYDECO@*
KALETRA@*
kariva*
KERALAC
NAILSTICK*
ketoconazole*
ketoconazole
shampoo*
ketoprofen
ketorolac*
ketorolac eye
drops*
KORLYM @*
KRISTALOSE
KYNAMRO@*
L
labetalol
Page 4 of 7
lactic acid*
lactulose*
LAMISIL AT*
lamivudine@*
lamivudinezidovudine@*
lamotrigine*
LANOXICAPS
lansoprazole
capsules*
LANTUS vial*
larin*
latanoprost*
leflunomide
LENVIMA@*
LETAIRIS*
leucovorin
LEUKERAN
leuprolide@*
LEVEMIR vial*
levetiracetam, ER*
levobunolol
levocarnitine
levocetirizine 5mg*
levofloxacin*
levofloxacin eye drops*
levora*
levororgestrel /
ethinyl estradoil*
levothyroxine*
LEVOXYL*
LEXIVA@*
lidocaine cream/
lotion/4%
ointment*
lidocaine patch@*◊
liquibid
lisinopril*
lisinopril/
hydrochlorothiazide*
lithium carbonate
lithium citrate
LITHOBID
loperamide*
loratadine (otc)*
loratadine/pseudoephedrine*
lorazepam
losartan*
losartan/hydrochlorothiazide*
LOTRONEX*
lovastatin*
low-ogestrol*
loxapine
LUCENTIS*
LUNELLE
LUPRON
DEPOT-PED@*
LUPRON
DEPOT@*
LYSODREN@*
M
MACUGEN*
MAKENA*
malathion@◊*
maprotiline*
marten-tab
MATULANE@*
MAXIDEX
MAXIPIME
mebendazol
meclizine
medroxyprogesterone*
mefloquine*
megestrol*
MEKINIST@*
meloxicam*
MENACTRA @*
MENEST
MENOSTAR*
meperidine
MEPHYTON
meprobamate
MEPRON
mercaptopurine
metformin, xr*
metforminglipizide*
methadone@
methazolam
methenamine
METHERGINE
methimazole
methocarbamol
methotrexate
methyldopa
methylphenidate
CD*
methylphenidate,
ER*
methylprednisolone*
metipranol
metoclopramide
metolazone
metoprolol
metoprolol ER*
metronidazole*
mexiletine
miconazole cream,
OTC
suppository*
microgestin*
midodrine
minitran
minocycline
capsule
mirtazapine*
misoprostol
MOBAN
moexipril*
moexipril/
hydrochlorothiazide
*
mometasone*
MONISTAT 7*
mononessa*
montelukast*
MONUROL
morphine sulfate,
SA, ER
MOTOFEN
moxifloxacin*
MOZOBIL*
MULTAQ*
mupirocin*
MYALEPT@*
MYCOBUTIN
mycophenolate
mofetil
MYOBLOC @
N
nabumetone*
nadolol
nafcillin
nalbuphine
naldelate
naltrexone @*
NAMENDA*
naphazolin*
naproxen*
naratriptan*
NARCAN*
NARDIL*
NASACORT
ALLERGY
24HR*
NASCOBAL*
nateglinide*
NATPARA@*
October 2016
nebulizer*
NEBUPENT*
necon*
neomycin/
bacitracin/
polymyxin*
neomycin
NEPHRON FA*
NEULASTA@*
nevirapine@*
NEXAVAR@*
NEXIUM 24HR
OTC*
next choice one
dose*
niacin
NIASPAN*
nicardipine*
nicotine transdermal
(≥18YO) @*
nifedical
nifedipine*
NILANDRON
nimodipine*
NINLARO@*
nitrofurantoin
nitroglycerin
nitrolingual
nizatidine oral
solution*
nizatidine capsule*
NIZORAL A-D*
nor-qd*
norethinedrone /
ethinyl estradiol*
norlyroc*
nortrel*
nortriptyline*
NORVIR@*
NPLATE @
NUCALA@*
NUEDEXTA@*
NULYTELY
nupercainal
NYMALIZE@*
nystatin/
triamcinolone
nystatin*
O
octreotide*
ODOMZO@*
OFEV@*
ofloxacin eye
drops*
Page 5 of 7
ofloxacin otic*
ogestrel*
olanzapine*
olanzapine orally
disintegrating
tablets*
olanzapine/
fluoxetine*
omeprazole*
omeprazole OTC*
OMNITROPE@
ondansetron*
ondansetron
ODT*
ONE TOUCH*
OPTICHAMBER*
OPTIHALER*
OPTIONHOME
COMPRESSOR
(Respironics)*
ORAP
ORKAMBI*
orphenadrine
ortho-est*
oticaine*
oxandrolone
oxazepam
oxcarbazepine
oxybutynin, SR*
oxycodone/
acetaminophen*
oxycodone/aspirin*
oxycodone
oxycodone er @*
OXYCONTIN @*
oxymorphone IR
OXYTROL (OTC)*
P
pantoprazole*
paromomycin
paroxetine*
paroxetine cr*
PATANOL @◊*
peg 3350
PEG-INTRON @
PEG-INTRON
REDIPEN @
PEGASYS @*
pen needle*
penicillin
pentazocine
pentazocin/
acetaminophen*
pentoxifylline
perindopril*
periogard
permetherin
perphenazine
phenazopyradine*
phenobarbitol
PHENYTEK
phenytoin
phos-flur
phospholine
pilocarpine
pimtrea*
pindolol
pioglitazone*
pioglitazone/glimep
iride*
pioglitazone/
metformin*
poly-vit*
poly-vit/fluoride*
poly-vitamin*
polyethylene glycol
POMALYST@*
potassium chloride
potassium citrate
PRADAXA*
pramipexole*
pramoxine*
pravastatin*
prazosin
PRED MILD
PRED-G
prednicarbate
cream*
prednisolone*
prednisone
PREMARIN
PREMPHASE
PREMPRO
PREVACID
24HR OTC*
PREVIDENT*
previfem*
PREZISTA@*
PRILOSEC OTC*
PRIMAQUINE
primidone
PRIMSOL
probenecid/colchici
ne
probenecid
procainamide
prochlorperazine
PROCRIT @
proctocream
proctosol
proctozone
progesterone
PROMACTA*
prometh vc (≥2YO)*
promethazine/
codeine(≥2YO)*
promethazine
(≥2YO)*
PROMETRIUM
propafenone
propantheline
propoxyphene*
propoxyphene/
acetaminophen*
propranolol, cr*
propranolol/
hydrochlorothiazide
propylthiouracil
protriptyline
PROVIGIL @*
PULMOZYME*
pyrazinamide
pyridostigmine
Q
quetiapine*
quinapril*
quinapril/
hydrochlorothiazide
*
quinidine
QVAR*
R
rabeprazole 20mg*
ramipril*
ranitidine OTC*
ranitidine syrup*
RAPAMUNE
RECOMBIVAX HB@*
REBIF*
RECTIV*
REGRANEX*
RELENZA (≥5YO)
@*
REMODULIN
RENAGEL
RENAX
renal caps
RENVELA
TABLET*
October 2016
repaglinide*
REPATHA@*
RESCRIPTOR@*
reserpine
RETIN-A
LIQUID*
REVATIO vial,
tablet*
REVLIMID@*
REYATAZ@*
ribavirin @*
RIDAURA*
rifampin*
RILUTEK
rimantadine
RIMSO-50
RIOMET*
risedronate 5mg,
30mg, 35mg*
RISPERDAL
CONSTA*
risperidone*
RITUXAN @
rizatriptan,
MLT*
ROBITUSSIN
ROFERON-A
ropinirole, ER*
ROWASA*
RUCONEST@*
S
SABRIL POWDER
salicylic acid*
salsalate
SAPHRIS*
SAVELLA*
Selegiline*
selenium sulfide*
SELZENTRY@*
SEREVENT
DISK*
SEROSTIM @*
sertraline*
SIGNIFOR@*
sildenafil 20mg
tablet*
silver nitrate
silver sulfadiazine
simvastatin*
SIRTURO@*
sulfamethoxazole/
trimethoprim*
sulfamethoxazole/
trimethoprim
Page 6 of 7
DS*
sodium fluoride*
sodium polysterene
sulfonate
sodium
sulfacetamide
cleanser/lotion*
sodium chloride
SOMATULINE
DEPOT*
sotalol hc
SPECTRACEF*
spironolactone
spironolactone/
hydrochlorothiazide
SPIRIVA
HANDIHALER*
sprintec*
stavudine@*
STRATTERA*
STRENSIQ@*
STRIANT@*
STRIBILD@*
STROMECTOL
sucralfate
sulfacet s*
sulfacetamide
sodium with
sulfur*
sulfadiazine
sulfasalazine
sulindac
sumatriptan*
SUSTIVA@*
SUTENT@*
SYMLIN *
SYNAGIS @*
SYNAREL @*
SYNJARDY*
T
TABLOID@*
tacrolimus
immediaterelease
tacrolimus
ointment@*
TAFINLAR@*
TAMIFLU*
tamoxifen
tamsulosin
TARCEVA@*
TAXOTERE
TAZORAC @◊*
TECFIDERA*
temazepam
TEMODAR
terazosin
terbinafine
tablets*
terbutaline
terconazole cream*
TERRAMYCIN
testosterone
propionate@
tetracycline
THALITONE
THALOMID*
THEO-24*
theochron
theophylline*
THIOGUANINE
thiothixene
thyroid
THYROLAR-2
tiagabine
ticlopidine
TIKOSYN
tilia fe*
timolol maleate*
TINDAMAX
(≥3YO)*
TIVICAY@*
tizanidine*
TOBI*
tobramycin*
tobramycin/
dexamethasone*
tolmetin sodium
tolnaftate*
tolterodine, ER*
topiramate*
torsemide
TRACLEER*
tramadol*
tramadol/
acetaminophen*
tramadol er*
trandolapril*
trandolapril /
verapamil*
transdermal
nitroglycerin
tranylcypromine*
trazodone*
tretinoin*
(Not covered if ≥35YO)
tri-legest fe*
tri-sprintec*
tri-vit/iron*
tri-vit/flluoride*
tri-vita/fluoride*
tri-vite/fluoride*
triamcinolone
cream/ointment*
triamterene/
hydrochlorothiazide
triazolam
tricosal
trifluoperazine
trifluridine
trihexyphenidyl
trimethobenzamide
trimethoprim
trimipramine*
TRINATE*
trinessa*
trivora-28*
TRIZIVIR@*
tropicamide
trospium*
TRUVADA@*
TUDORZA*
tussigon
TWINRIX @*
TYKERB@*
TYVASO*
U
undecylinic acid*
unithroid
uroquid acid
ursodiol
V
VAGIFEM*
valacyclovir*
VALCYTE*
valproic acid
valsartan*
valsartan/
hydrochlorothiazide*
vancomycin*
VAQTA @*
VELCADE
venlafaxine*
VENOFER @
VENTAVIS*
VENTOLIN HFA*
verapamil
VEXOL
VICKS 44M
October 2016
vicodin hp*
VICTOZA*
VICTRELIS@*
VIDEX@*
vincristine
vinorelbine
VIRACEPT@*
VIRAMUNE
XR@*
VIREAD@*
VIROPTIC*
VISICOL
VISTOGARD@*
vitamin d
VIVAGLOBIN
VIVITROL @*
VOLTAREN GEL*
VOTRIENT@*
Page 7 of 7
Y
YODOXIN
W
warfarin
WELCHOL*
X
XALKORI@*
XELODA
XENAZINE *
XERAC-AC
XARELTO*
XGEVA*
XOLAIR @
XTANDI@*
Z
ZADITOR OTC*
zaleplon*
ZEGERID OTC*
ZELBORAF@*
ZEMPLAR*
ZENPEP
ZEPATIER @*
ZETIA @◊*
zidovudine@*
zinc sulfate
ziprasidone*
ZOLADEX @*
zolpidem*
ZOMETA*
zonisamide*
ZORBTIVE @*
ZORTRESS
ZOSTAVAX @*
zovia 1/35*
zovia 1/50*
ZYBAN (≥18YO)*
ZYPREXA
RELPEVV*
ZYTIGA@*
ZYVOX
October 2016